Active NPI
Carol A Kostelny, DPT
- Physical Therapist
- Elmhurst, IL
National Provider Identifier
1003947896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.014992
- Practice address
- 483 W 2ND St
Elmhurst, IL 60126-2509 - Phone
- (630) 709-3149
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.014992 | IL | Primary |
Addresses
Primary practice location
483 W 2ND St
Elmhurst, IL 60126-2509
Mailing address
483 W 2ND St
Elmhurst, IL 60126-2509
Phone (630) 709-3149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.014992 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiny Steps Therapy Inc | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Elmhurst, IL
- NPI 1003066374
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1003947896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 W 2ND ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262509",
"telephone_number": "630-709-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 W 2ND ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262509",
"telephone_number": "630-709-3149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTELNY",
"first_name": "CAROL",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.014992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.